W RICHARD SYLVANOVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

Middle

RICHARD

Last Name

SYLVANOVICH

Suffix

Business Name

W RICHARD SYLVANOVICH MD

Original Issue Date

08/17/2005

Effective Date

07/23/2020

Expiration Date

07/31/2023

City

BREESE

State

Zip

62230

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023